MEDICARE: MS. MARIE CERVELLERO BELANGER MSN, FNP- PMHNP- BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	201425	NC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	201425	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275591703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE CERVELLERO BELANGER MSN, FNP- PMHNP- BC

Provider Business Mailing Address
First Line	:	2261 MARKET ST STE 10222
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1612
Country	:	US
Telephone Number	:	415-360-3348
Fax Number	:	571-376-6798

Provider Business Practice Location Address
First Line	:	3064 WAKE FOREST RD # 1271
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-7844
Country	:	US
Telephone Number	:	415-360-3348
Fax Number	:	571-376-6798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	04/22/2025

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